Individual
DR. JAY FOSTER WIGBOLDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 972-9669
(317) 715-9990
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 972-9669
(317) 715-9990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01079663A
IN
2085R0202X
Diagnostic Radiology Physician
036144663
IL
2085R0202X
Diagnostic Radiology Physician
34489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055776
—
IN
Enumeration date
11/15/2005
Last updated
01/22/2026
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